Supportive Care Of New Hampshire Llc - Medicare Mental Health Clinic in Derry, NH

Supportive Care Of New Hampshire Llc is a medicare enrolled mental health clinic (Psychologist - Clinical) in Derry, New Hampshire. The current practice location for Supportive Care Of New Hampshire Llc is 20 Chester Rd, Derry, New Hampshire. For appointments, you can reach them via phone at (718) 298-4375. The mailing address for Supportive Care Of New Hampshire Llc is 27 Randolph Rd, Howell, New Jersey and phone number is (718) 298-4375.

Supportive Care Of New Hampshire Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1013657618. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (718) 298-4375.

Contact Information

Supportive Care Of New Hampshire Llc
20 Chester Rd
Derry
NH 03038-1636
(718) 298-4375
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameSupportive Care Of New Hampshire Llc
SpecialityPsychologist
Location20 Chester Rd, Derry, New Hampshire
Authorized Official Name and PositionRaphael Lichtschein (PRESIDENT)
Authorized Official Contact7182984375
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Supportive Care Of New Hampshire Llc
27 Randolph Rd
Howell
NJ 07731-8611

Ph: (718) 298-4375
Supportive Care Of New Hampshire Llc
20 Chester Rd
Derry
NH 03038-1636

Ph: (718) 298-4375

NPI Details:

NPI Number1013657618
Provider Enumeration Date03/31/2022
Last Update Date03/31/2022
Certification Date03/29/2022

Medicare PECOS Information:

Medicare PECOS PAC ID9133506272
Medicare Enrollment IDO20220511001843

Medical Identifiers

Medical identifiers for Supportive Care Of New Hampshire Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013657618NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Supportive Care Of New Hampshire Llc acts as a billing entity for following providers:
Provider NameLisa G Donnellan
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1902090541
PECOS PAC ID: 6002903622
Enrollment ID: I20141008001850
Provider NameTonya Watkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184091639
PECOS PAC ID: 5597073973
Enrollment ID: I20151005001939
Provider NameKathy M Boyd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811373913
PECOS PAC ID: 8022326172
Enrollment ID: I20151009000333
Provider NameKerry O'hara
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265989438
PECOS PAC ID: 5597043125
Enrollment ID: I20161101002387
Provider NameMarie Jane Germono Lord
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023485307
PECOS PAC ID: 0143539262
Enrollment ID: I20170127001228
Provider NameBobbie-jo M. Johnstone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134666175
PECOS PAC ID: 1557645587
Enrollment ID: I20170310001252
Provider NameOlivia Lea Clement
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033713110
PECOS PAC ID: 3779995717
Enrollment ID: I20210513001723
Provider NameAngelique Donati
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205595055
PECOS PAC ID: 2062808751
Enrollment ID: I20220406000038
Provider NameMichael Nicholas
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1437536166
PECOS PAC ID: 8224413158
Enrollment ID: I20220913003753
Provider NameNicole Sauve
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1770981243
PECOS PAC ID: 6800263435
Enrollment ID: I20221111000848
Provider NameCynthia Ann Kenney
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043572571
PECOS PAC ID: 9830567353
Enrollment ID: I20221115000073
Provider NameMelissa Muriel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265154850
PECOS PAC ID: 9335518620
Enrollment ID: I20221208000850
Provider NameSuzanne Lynne Macaluso
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1821467259
PECOS PAC ID: 3375916109
Enrollment ID: I20230227001208
Provider NameJuliette W Daniels
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1396266938
PECOS PAC ID: 9436514783
Enrollment ID: I20230420002369
Provider NameEva Torres Maldonado
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1164881736
PECOS PAC ID: 9032491022
Enrollment ID: I20230516000080
Provider NameWendy Marie Prescott
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1356444368
PECOS PAC ID: 8820454937
Enrollment ID: I20230516001404
Provider NameDana Rosa Phillips
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790475986
PECOS PAC ID: 1658739057
Enrollment ID: I20230616000401
Provider NameJoseph Mckee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801596713
PECOS PAC ID: 0042671653
Enrollment ID: I20230814003419
Provider NameChristiana Nsoh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922870757
PECOS PAC ID: 9537519368
Enrollment ID: I20231220001263
Provider NameMartha Hanley
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1417718800
PECOS PAC ID: 9739522939
Enrollment ID: I20240205002092
Provider NameDeanna Pangione
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518725746
PECOS PAC ID: 1355788472
Enrollment ID: I20240326000715
Provider NameRenee April Laurencelle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164129979
PECOS PAC ID: 7012372899
Enrollment ID: I20240329001772
Provider NameOluyemisi Olatilu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073374625
PECOS PAC ID: 2860832961
Enrollment ID: I20240506001502
Provider NameKatie A Maclean
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639924731
PECOS PAC ID: 1850732678
Enrollment ID: I20240510002241
Provider NameDanielle Mcgovern
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417703497
PECOS PAC ID: 3971944695
Enrollment ID: I20240513002972
Provider NameNicole Marie Mancino
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1831958750
PECOS PAC ID: 8820439441
Enrollment ID: I20240514003304
Provider NameRutendo Faith Moyo
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1992175624
PECOS PAC ID: 5496125619
Enrollment ID: I20240515003528

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.